KEARNEY R-1 SCHOOL DISTRICT FUNDRAISING APPLICATION FORM

Date of Application

Date

Club / Activity Raising Funds

Club / Activity Sponsor

Description of Fundraiser

Purpose of Funds

Beginning Date of Fundraiser

Date

Ending Date of Fundraiser

Date

Anticipated Net Revenue

Financial Expectation from each student (if applicable)

Sponsor Email

example@example.com

Revenue Code

Signature of Sponsor

Please fill out once fundraiser is completed

CLOSING REPORT SECTION:

Gross Receipts / Revenue (All money collected): ______________________

Breakdown of Expenses (i.e. cost of merchandise, trophies, drinks, snacks, etc.)

___________________________________________________________

Expenses (Total of all expenses) $ _________________

Net Income (Gross Receipts minus Expenses) $____________________

Gross Receipts / Revenue:

Breakdown of Expenses (i.e. cost of merchandise, trophies, drinks, snacks, etc.)

Expenses (Total of all expenses)

Net Income

Signature of Approval by Central office